BSN 315 HESI (Latest Update )
Pharmacology II Practice Questions AND
Answers {Grade A} 100% Correct
A client who received a renal transplant three months ago is readmitted to the acute
care unit with signs of graft rejection. While taking the client's history, the nurse
determines that the client has been self-administering St. John's Wort, an herbal
preparation. on the advice of a friend. Which information is most significant about this
finding?
a. Wort can decrease plasma concentrations of cyclosporine.
b. Ingestion of Wort can reduce the client's intake of sodium.
c. The client probably used this herb to treat depression.
Adding the herb can decrease the need for corticosteroids - correct answer Wort can
decrease plasma concentrations of cyclosporine.
A client with anemia secondary to chronic kidney disease (CKD) started a prescription
for epoetin alfa two months ago. Which client finding best indicates that the medication
is effective? Reference Range: Hemoglobin (Hgb) [Reference Range: Male: 14 to 18 g/dL
(8.7 to 11.2 mmol/L)]
,a. Food diary shows increased consumption of iron-rich foods.
b. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
c. Reports of increased energy levels and decreased fatigue.
d. Takes concurrent iron therapy without adverse effects. - correct answer Reports of
increased energy levels and decreased fatigue.
The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate
to a client with peptic ulcer disease. Which action should the nurse include in this
client's plan of care?
a. Administer sucralfate once a day, preferably at bedtime.
b. Monitor for electrolyte imbalance.
c. Give sucralfate on an empty stomach.
d. Assess for secondary Candida infection. - correct answer Give sucralfate on an
empty stomach.
Prior to administering oral doses of calcitriol and calcium carbonate to a client with
hypoparathyroidism, the nurse notes that the client's total calcium mg/dL (3.5
,mmol/L). Which action should the nurse implement? Reference Range : Total Calcium
[Reference Range: Adult 9 to 10.5 mg/dL or 2.25 to 2.62 mmol/L]
a. Administer both prescribed medications as scheduled.
b. Hold both medications until contacting the healthcare provider.
c. Hold the, calcitriol but administer the calcium carbonate as scheduled.
d. Hold the calcium carbonate, but administer the calcitriol as scheduled. - correct
answer Hold both medications until contacting the healthcare provider.
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops
will need to be used. Which response made by the nurse is accurate?
a. Until the excess pressure is reduced.
b. For long-term control of normal eye pressure.
c. For long-term control of pain and swelling.
d. Until a smaller angle can be restored. - correct answer For long-term control of
normal eye pressure.
, The nurse initiates an infusion of piperacillin-tazobactam for a client with an urinary
tract infection. Five minutes into the infusion, the client reports not feeling well. Which
client manifestation should the nurse identify as a reason to stop the infusion?
a. Hypertension.
b. Bradycardia.
c. Scratchy throat.
d. Pupillary constriction - correct answer Scratchy throat.
The nurse prepares to administer a scheduled dose of labetalol by mouth to a client
with hypertension. The client's vital signs are temperature 99° F (37.2°C), heart rate 48
beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg.
Which action should the nurse take?
a. Administer the dose and monitor the client's BP regularly.
b. Apply a telemetry monitor before administering the dose.
c. Withhold the scheduled dose and notify the healthcare provider.
d. Assess for orthostatic hypotension before administering the dose. - correct answer
Withhold the scheduled dose and notify the healthcare provider.
Pharmacology II Practice Questions AND
Answers {Grade A} 100% Correct
A client who received a renal transplant three months ago is readmitted to the acute
care unit with signs of graft rejection. While taking the client's history, the nurse
determines that the client has been self-administering St. John's Wort, an herbal
preparation. on the advice of a friend. Which information is most significant about this
finding?
a. Wort can decrease plasma concentrations of cyclosporine.
b. Ingestion of Wort can reduce the client's intake of sodium.
c. The client probably used this herb to treat depression.
Adding the herb can decrease the need for corticosteroids - correct answer Wort can
decrease plasma concentrations of cyclosporine.
A client with anemia secondary to chronic kidney disease (CKD) started a prescription
for epoetin alfa two months ago. Which client finding best indicates that the medication
is effective? Reference Range: Hemoglobin (Hgb) [Reference Range: Male: 14 to 18 g/dL
(8.7 to 11.2 mmol/L)]
,a. Food diary shows increased consumption of iron-rich foods.
b. Hemoglobin level increased to 12 g/dL (7.45 mmol/L).
c. Reports of increased energy levels and decreased fatigue.
d. Takes concurrent iron therapy without adverse effects. - correct answer Reports of
increased energy levels and decreased fatigue.
The nurse is planning to administer the antiulcer gastrointestinal (GI) agent sucralfate
to a client with peptic ulcer disease. Which action should the nurse include in this
client's plan of care?
a. Administer sucralfate once a day, preferably at bedtime.
b. Monitor for electrolyte imbalance.
c. Give sucralfate on an empty stomach.
d. Assess for secondary Candida infection. - correct answer Give sucralfate on an
empty stomach.
Prior to administering oral doses of calcitriol and calcium carbonate to a client with
hypoparathyroidism, the nurse notes that the client's total calcium mg/dL (3.5
,mmol/L). Which action should the nurse implement? Reference Range : Total Calcium
[Reference Range: Adult 9 to 10.5 mg/dL or 2.25 to 2.62 mmol/L]
a. Administer both prescribed medications as scheduled.
b. Hold both medications until contacting the healthcare provider.
c. Hold the, calcitriol but administer the calcium carbonate as scheduled.
d. Hold the calcium carbonate, but administer the calcitriol as scheduled. - correct
answer Hold both medications until contacting the healthcare provider.
A client with open-angle glaucoma asks the nurse how long the prescribed eye drops
will need to be used. Which response made by the nurse is accurate?
a. Until the excess pressure is reduced.
b. For long-term control of normal eye pressure.
c. For long-term control of pain and swelling.
d. Until a smaller angle can be restored. - correct answer For long-term control of
normal eye pressure.
, The nurse initiates an infusion of piperacillin-tazobactam for a client with an urinary
tract infection. Five minutes into the infusion, the client reports not feeling well. Which
client manifestation should the nurse identify as a reason to stop the infusion?
a. Hypertension.
b. Bradycardia.
c. Scratchy throat.
d. Pupillary constriction - correct answer Scratchy throat.
The nurse prepares to administer a scheduled dose of labetalol by mouth to a client
with hypertension. The client's vital signs are temperature 99° F (37.2°C), heart rate 48
beats/minute, respirations 16 breaths/minute, and blood pressure (B/P) 150/90 mm Hg.
Which action should the nurse take?
a. Administer the dose and monitor the client's BP regularly.
b. Apply a telemetry monitor before administering the dose.
c. Withhold the scheduled dose and notify the healthcare provider.
d. Assess for orthostatic hypotension before administering the dose. - correct answer
Withhold the scheduled dose and notify the healthcare provider.
